Individual
TIFFANY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 E 82ND AVE, SUITE 101, ANCHORAGE, AK 99518-3100
(907) 222-2652
Mailing address
615 E 82ND AVE, SUITE 101, ANCHORAGE, AK 99518-3100
(907) 222-2652
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM6101
STATE
AK
Enumeration date
05/09/2014
Last updated
05/09/2014
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